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Remote - Financial Clearance Coordinator

Mosaic Life Care · mymlc.com
Saint JosephRemoteEntry level1+ yrs
Apply on Mosaic Life Care’s site
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Straight from the company’s own careers site.

The job in short

Patient financial clearance coordinator handling pre-service billing and insurance eligibility.

InsuranceCompliance

Details

Found
5 d ago · posted 2026-11-09
Location
Saint Joseph, MO

Full description

Under the direction of the Patient Access Services and Special Project Director, responsible for assisting patient with inquiries related to pre-service patient financial responsibility, propensity to pay scoring, patient billing policies, financial counseling, insurance eligibility, medical necessity, non-covered services and patient payment collection policies. The coordinator will be responsible for monitoring the pre-status accounts receivables and overall workflow of daily operations. Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. • Assists with staffing the Patient Financial Clearance Services Call Center, provides superior customer service to the service areas we support by communicating payor requirement and/or limitations. • Researches state and federal regulations to ensure compliance standards are met within the department. • Assists with communication of all Patient Access vendors and internal stakeholders to ensure quality and accuracy of the technology. • Reviews phone system and other reports, analyzing data to identify potential stress points and recommend areas of improvement. • Monitors and reports point of service collection opportunities at the system level • Coordinates payer related issues for pre-service processes to the Managed Care Director. • Researches and trends payer denials related to Pre-Access services and assists with the development of future edits for the quality assurance technology. • Maintains the policies and procedures related to pre-service and point of service collection practices. Provides reasonable cash collection goals for the enterprise to meet or exceed the 75th percentile. • Assists the Financial Clearance Manager with the supply and overtime budget to ensure the department stays within budget. • Manages customer complaints and reports any necessary changes needed related to patient pre-service payment and pre-access services policies. • Provides support to the Financial Clearance Manager for special projects and reporting • Organizes all training needs for the Financial Clearance department with the training team and reports any special training needs • Other duties as assigned Education • H.S. Diploma - Required • Bachelor's Degree - Preferred Work Experience • 1 Year - Experience with pre-access services policies - Required Licenses and Certifications • Upon Hire Travel Requirements • Travel to off-site locations may be required. - Required Skills and Abilities Essential Technical/Motor Skills • Communicates clearly and concisely; good hand eye coordination Interpersonal Skills • Excellent oral and written communication skills. • Maintains good rapport and professional relationship with caregivers. • Demonstrates excellent customer service skills by maintaining friendly, courteous and helpful behaviors. Essential Physical Requirements • Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax and copier. • Multi-skilled responsibilities require sitting, walking and standing. Essential Mental Abilities • Analyze and interpret data. • Excellent short term and long term memory. • Ability to perform multiple tasks and follow system policies and procedures. Essential Sensory Requirements • Visually assess paper and electronic data, hear telephone and converse Exposure to Hazards Other Skills and Abilities • Demonstrated self-starter. • Excellent oral, written, and interpersonal communication skills; excellent organizational skills. • Ability to quickly assess and respond appropriately to emergency situations. • Ability to comprehend medical terms. • Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles. • Knowledge and experience with a variety of information systems and Internet usage; experience with spreadsheet and word processing software. • Ability to work independently and manage individual workload to meet productivity standards along with a varied schedule, which includes weekend and evening coverage.

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